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Individual

ADA M MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(832) 524-5000
Mailing address
10131 W MILITARY DR STE 104, SAN ANTONIO, TX 78251-1927
(210) 899-1450
(210) 899-1907

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357588802
TX
01
357588803
CSHCN
TX
Enumeration date
05/11/2015
Last updated
10/06/2025
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